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1. Sex: Male Female
2. Age in years:
3. Degree enrolled in:
4. Current university:
5. Number of total practicum hours completed
6. Number of external placements you have completed until now:
7. Total number of supervision hours (approximately) you have received until now (tick column)
8. Choose one term that best defines your therapeutic approach. Please do not use the term 'eclectic'. If you use multiple approaches, identify the dominant approach.
9. Years of experience as a psychologist until now (including experience gained during your training)
10. How many supervisors have you had to date (including individual and group supervisors)?
Please consider your current individual supervisor when completing the following
2. Age in years (approximate) 20 - 30 30 - 40 40 - 50 50 - 60 > 60
3. Choose one term that best defines your supervisor's therapeutic approach. If your supervisor uses multiple approaches, identify the dominant approach. Use eclectic only when your supervisor uses an eclectic approach for most clients.
4. Months you been seeing your current supervisor:
5. Frequency of your supervision sessions: Weekly Fortnightly Monthly Other (specify)
6. Average duration of supervision session < 15min 15 - 30min 30 - 45min 45min - 1hr 1 - 1.5hrs > 1.5hrs
7. Years of experience as a supervisor
Please read the following vignettes and answer the questions that follow. If you are not currently under supervision, rate your previous supervisor.
Vignette 1: This is your fifth session with Client B. You find that Client B dominates the sessions and you often feel that you are not needed in the room. You notice yourself tuning out in sessions and becoming distracted. Although you feel you have made an effort to become more involved in the sessions, you do not believe you are engaged with this client. You are concerned that this problem is indicative of your less than optimal ability to develop and maintain rapport with this and other difficult clients.
Vignette 2: Your client arrives to the session late and presents as flat and withdrawn. The session meanders a lot, and just when you are planning to summarise and terminate the session, she tells you, “Everything is hopeless;, there is no point to anything; people let you down.” You seek elaboration, and find that a close friendship of hers has ended. Your client has had a previous history of self-harming behaviours including drug abuse, although such behaviours were not a major concern during your therapy with her. Your next client is waiting, so you briefly ask your client whether she feels safe and terminate the session when she tells you that she thinks she will be okay. Whilst preparing for your upcoming supervision session you reflect on the session and are unhappy with yourself for not picking up the client’s mood change early in the session. Although on a gut level you feel your client will be safe, you are upset with yourself for not conducting a more comprehensive assessment for suicide risk.
Vignette 3: You have a heavy caseload and are struggling with some difficult clients. Your supervisor will be going away in a fortnight for a period of three weeks. Your supervisor had mentioned this in passing over two months ago, and at the time you thought you would be able to manage without supervision for that period of time. However now you are feeling anxious and unsupported. As your supervisor’s departure date approaches, you notice you feel angry with your supervisor and have become less open in supervision. You are concerned that your current feelings will impact negatively on the supervision process and future interactions with this supervisor.
Last reviewed: 24 July, 2007
